TranscripT Access to Readiness Disability Summit on Emergency Preparedness December 11, 2006 Presented by: California Foundation for Independent Living Centers Primarily sponsored by: Also sponsored by: Access to Readiness: Disability Summit on Emergency Preparedness Agenda: December 11, 2006 OPENING PLENARY 9:00 - 9:45 page 4 • June Kailes, Disability Policy Consultant, Center for Disability in the Health Professions, Western University of Health Sciences LAY OF THE LAND 9:45 - 10:15 page 14 • Grace Koch, Deputy Director, Preparedness & Training Division, Governor’s Office of Emergency Services • Jessica Cummins, Deputy Director, Planning, Research, & Emergency Preparedness, Governor’s Office of Homeland Security STATE AGENCY RESPONSE 10:15 - 10:45 page 24 • Karen Baker, Executive Director, California Service Corps • Lora Connolly, Director, Department of Aging • Carol Risley, Chief, Human Rights and Advocacy Services, Department of Developmental Services • Richard Devylder, Deputy Director, External Affairs, Department of Rehabilitation BREAK 10:45 - 11:00 COMMUNICATION 11:00 - 11:45 page 30 • Sheri Farhina, Executive Director, NorCal Center on Deafness • Dan Kysor, Governmental Affairs Director, California Council of the Blind • Richard Ruge, Strategic Development & Training Supervisor, North Bay Regional Center WHAT IS READINESS? 11:45 - 12:15 page 41 • Ana Marie Jones, Executive Director, Collaborating Agencies Responding to Disasters • Tom Guarino, Government Relations Representative, Pacific Gas and Electric Company LUNCH & AWARDS 12:15 - 1:15 (no transcript available) We Thank our Sponsors: • Pacific Gas & Electric Company • Health Net • Sierra Health Foundation • US Bank EVACUATION 1:15 - 2:00 page 48 • Mike Collins, Executive Director, State Independent Living Council • Fran Bates, Executive Director, Rolling Start Inc. • Jerry Davis, Executive Director, Easy Lift Transportation SHELTERING 2:00 - 2:45 page 60 • Greg John, Manager, Emergency Management Relations Pacific Service Area, American Red Cross • Bill Vogel, Chief, Disaster Services Bureau, Department of Social Services • Norma Vescovo, Executive Director, Independent Living Center of Southern California BREAK 2:45 - 3:00 DEVELOP PRIORITIES FOR ACTION 3:00 - 4:00 (no transcript available) • Table Discussions PRESENT PRIORITIES FOR ACTION 4:00 - 4:45 page 77 • Table Presentations CLOSING 4:45 - 5:00 page 85 • Teresa Favuzzi, Executive Director, California Foundation for Independent Living Centers Captioning provided by: Caption First, Inc. PO Box 1924 Lombard, IL 60148 * * * * * This is being provided in a rough-draft format. Communication access realtime translation (cart) is provided in order to facilitate communication accessibility and may not be a totally verbatim record of the proceedings. * * * * Opening Plenary 9:00 - 9:45 Speaker: June Kailes, Disability Policy Consultant, Center for Disability in the Health Professions, Western University of Health Sciences (program begins) Teresa Favuzzi, Executive Director, California Foundation for Independent Living Centers: Good morning everyone. Group: Good morning. Teresa Favuzzi: My name is Teresa --the Executive Director of the California Foundation for ILC and I would like to welcome you to Access to Readiness, Disability Summit For Emergency Preparedness. To let you know we are going to get warm in this room, there will be more people coming across the course of the day and we are overbooked for this event. So, I appreciate your willingness to get cozy with each other, as we move across the day. To get us started right away, I would like to introduce June Kailes. June, take it away. June Kailes, Disability Policy Consultant: That is what I like, short and sweet; very good. Okay, good morning. A lot of friends out there, good to see you, good morning. All right, you know what to do with the cell phones and stuff. So, today I would like to talk about making some of these disaster lessons that we documented over years and years, real. And as my, that is my charge for today, I am going to focus on that. Can you all hear me okay? And you will pardon my side. We have to logistically kind of be creative here. I am June Kailes and I am the Associate Director of the Center for Disability Issues on Health Professions, CDI, it is impossible to remember, my assistant’s in the back of the room - - and we try to work together. So, the center is in Pomona, down in southern California. And I am a little bit more about me, probably some of you know that my perspective comes from 30 years of focusing my time on disability and aging specific issues. I am one of a handful of weird people who have been paying attention to this issue for a very long time, over the long haul, and my focus has mainly been on the applied side: policy, advocacy and training, and writing and producing guides on individual preparedness as well as the role of - - organizations and CBO’s or NGO’s, non-governmental agencies and faith based groups as well. I worked with Herb over the years in San Francisco, writing some of these materials as well. The center focused on enhancing the health of people with disabilities in terms of public policy and training and research and a lot of different activities. Now my charge today, my objectives are to put a human face on some of these key issues that are recurring, planning issues. And many of the stories that I’ll share today are composite stories, of many different peoples’ experiences. So I am going to focus on the planning issues related to public warnings and communications, evacuations, sheltering. And training and responding in partnership. And because I am me and those of you that know me know I won’t resist, I’ll make some recommendations. This is not a comprehensive list, just highlights. And my last objective is to review why we are here. What is the potential return on our time investment and where do we go from here? So, just to review, as the 2000 census tells us, there are 50,000,000 Americans with disabilities, one in five people have some kind of mobility, hearing, vision, cognitive or other kind of disability. So the instance of disability in the general population is about 20 percent. But the group that we are talking about today is much larger than that. Why? Because these numbers don’t include children under five, or those who live in group settings or institutions; the numbers don’t take into account that these numbers are quite higher among color, low income and world communities and they don’t consider the huge group of people who live with functional limitations, but will never identify with the d word. What is the d word? Disabled. Right. Often because of stigma attached. So you will hear me talk about people with activity or functional limitations than just people with disabilities. Now I want to warn you up front, some of these slides contain images that are not pretty. So if you need to look at your lap or when you hear the audience description, cover your ears, that is okay, just a little warning here. Now, this diverse population that I am talking about, that does have one common characteristic, and that is their margin of resiliency is smaller, and they have an increased level of vulnerability. And the 2005 hurricanes resulted in a disproportionate number of fatalities of people with disabilities, we remember that. For example, in New Orleans, 1,200 people died, 73 percent of the hurricane related deaths are people aged 60 and over, and even though they only made up 15 percent of the population, and 215 people died in nursing homes And you know what? Speaker (inaudible): There is power just there is no voice nothing is coming through. Speaker: He has power, but the mike is not working. June Kailes: Emergency preparedness, who has batteries? What do you need, triple A’s? I have triple A’s on me. Preparedness. Preparedness. And her assistant is here to accept the batteries. Get on that. Speaker: We have another receiver. He has power but no receiver. June Kailes: Let me know when we are set to go. Okay? Are you all set? Speaker: Just one moment, thank you. June Kailes: How many have been responders to some disasters in the past? Which event? Any of you, just yell it out. Voices: >>Earth quakes. >>Aircraft survival. >>1972 in the city of Alameda a jet crashed in to our apartment complex. >>I’ll talk about that later. June Kailes: Okay. What else? Voices: >>Northridge quake. >>San Bernardino fires. >>Flooding, Yuba county. June Kailes: Is it working now? Okay? We are working. Can you hear me now? Are you able to hear? Speaker: He has to put it on. Okay. All right. June Kailes: Great. Your assistant was just walking around. Well, in terms of number of deaths, we often forget about longer term issues, mental health issues. In New Orleans, the police department reported that in the months following the hurricane the suicide rate of the city was nine times the national average. And in a six-month period, there was a significant increase in deaths among elderly--Suicide, and primarily because of loss of social network and independence. Often we only focus on the initial numbers and not long-term after-effects. It is always easier to mop the floor than fix the roof. Wait for the problem to develop, and then work on the solution, rather than working on and finding preventions. And in the 2005 hurricanes, the outcomes clearly reinforce the gamble is not worth the risk. The steps were easy to list but hard to do and do well, and the devil is in the detail. I would like to say, if we are waiting for a Washington-based solution, we better not hold our breaths. So let’s talk about public warnings for a minute. When the power goes out and homes go dark and people are without TV, cable satellite and internet and there is no or limited if any cell service, and there is no land lines, or hard-wired phone service, then the radio becomes the primary and often sole lifeline communication tool. That means that people with hearing disabilities are literally left in the dark. Most people initially receive their critical emergency information from TV. But without captioning or sign language interpretation of the emergency information on TV, people with hearing limitations often were unaware of the scope of the emergency. For those with visual limitations, TV broadcast, depend on and use audio descriptions of critical information like maps, and listed information. And people with both visual and hearing disabilities are unable to obtain critical safety information when media doesn’t comply with existing FCC laws. Now this picture, is not what it appears to be. These two men on the ground prone had no idea about the curfew in New Orleans, one man, there showing the sign for deaf. “I am deaf.” The officers in the National Guard had no clue. These people never got the information about the curfews. We joke around, we don’t need deaf sections in a shelter, what we need are interpreters. But people with hearing disabilities could not understand evacuation instructions nor instructions in the shelters. People told us that, one man told us in particular, that he waited for three days in a shelter to get food, because why? Because he thought he had to pay for it. He thought he had to pay for the food. And of course, he didn’t respond to the announcement, the ridiculous announcement where they said “Does anyone need a sign language interpreter?” And didn’t see the signage that said if you are deaf and need assistance please contact blah blah blah. No tty. So, recommendations to consider - - I think California can play a great role in enforcement that is often reminding the media that the FCC requires emergency alerts to include visual messages containing all key emergency information and visual message cannot interfere with captioning. And text messages have to be voiced. California should use fully accessible audio and visual formats with their emergency messages, and we need to be creative in terms of this, in exploring some email and wireless network alerts that could be more dash more creative in terms of flashing warnings on the wireless systems. And you better use reverse 911 and maybe offering funding for that. And thinking out of the box, like using that satellite radio, or using the amber alerts on the freeway as more ways to get the messages out. That is streaming text on buses, as well. Okay. Evacuation. Talk about transfer trauma. When there are no plans and no way out, this is called “rack and track”; no this is called “racking without tracking.” A bunch of slings on an aircraft carrier. A pretty traumatic way to evacuate. Disasters commonly magnify the daily barriers in terms of transportation. You know, in 2001, 83 percent of buses were ADA compliant, compared to 35 in 1990. But typically when we encounter a non-compliant bus, think need a significant longer transit time due to the wait, but you know what, during disaster, the consequences of non-compliance were sometimes fatal rather than just time consuming. So, magical thinking just won’t cut it. On the morning of August 29, 2005, my friend Marcy got a call from a woman in New Orleans called Benny. Benny is a wheel chair user and had been trying to evacuate to the Superdome for two days. Marcy in DC was sure she would be able to help her and knew the right people. After a whole lot of calls to the right people, it was clear that she was not being evacuated and Marcy stayed on the phone with her most of the day assuring her they were doing everything she could to get help and get her out. What was happening? Benny was relying on the same paratransit system that people with disabilities can not rely on in good weather. No surprise. It doesn’t work. Marcy was on the phone with her when Benny told her in a panicked voice, the water is rushing in and then the phone went dead. And we learned five days later that Benny was found in her apartment, dead floating next to her wheel chair. Benny did not have to drown, so the recommendation here is that system could work, if we include accessible transit. Providers as part of the planning team. Transit providers as part of the planning team. Another huge and common problem is that many groups’ facilities unknowingly contract with the same few accessible transit providers for emergency evacuation. This did and will in the future create compounded disasters in a real event. The attendant here, these women were just dumped in a parking structure in New Orleans. That man, we don’t know if it is, or are, he is a volunteer or family member, but we know he is probably very much of an unqualified caretaker. And, this could be our parents. This could be our relatives. While some state psychiatric facility and group homes evacuated successfully, others didn’t have any pre-arranged destinations for the evacuees. And family members were unable to find loved ones for weeks or months, they were sent all over the place. Many people with mobility and psychiatric disabilities were inappropriately institutionalized. Why? Because, people were unable to get the medications, or some substitute DME they needed. Simple assistance with meds would have avoided institutionalization. Some people in the community were evacuated to Texas state psychiatric hospital where they remained for many, many months. So recommendation, we have got to involve successful transit providers to be part of the planning team. We have to have more accessible pick up routes, and we need to require more diligence, in-depth review of evacuation plans for group homes and nursing homes and other kind of group settings. In terms of sheltering - - we often heard, during the study right after Katrina, “we don’t do special needs” from the shelter managers. We don’t do special needs. That is not an acceptable policy. But it is something that we have been hearing as long as I have been listening, which is over 30 years. Many shelters continue to refuse to admit people with disabilities or inappropriately refer them to medical shelter or hospitals. Sometimes just the assistance of medical shelters means that they have an excuse to discriminate against people with disabilities. And what shelter personnel reject people with disabilities, sometimes it is met in more than one way that they’re dumped on the streets. Partnerships. What can we do? First I think it is important for us all to acknowledge in terms of anti magical thinking, we know that traditional government response agencies typically are strained way beyond capacity, and are under-equipped to respond to the functional needs of our diverse community. And they can not adequately replicate our CBO expertise. Katrina shelter managers said to us, he complained about the length of time it took to locate assistive devices. It would have been nice to have someone local to provide a list of resources rather than taking staff hours on the phone trying to find equipment. A knowledgeable CBO person could have accomplished that task, freeing the shelter managers to engage in other activities. Now what happens is NGOs are frequently unfortunately overlooked as resources in terms of emergency planning preparedness and response. So, they are actually turned away. And yet we coming from the community have those trained eyes and ears. We can help with those quick fixes. That seems to be out of the realm of a lot of peoples thinking. You know those temporary ramps, how it makes a bathroom usable quickly, even port-apotties. How to help people replace meds quickly? Or, DME, replacing quickly, maintaining DME. Speaker: June maybe you can once say what NGO and DME means, I don’t think everyone knows but it is possible that- June Kailes: I am going to use CBO for community based organization, that is where most of you are from. NGO is more of an international term or non government organizations like the same kind of thing. But sometimes you will hear something like CBO, faith based organizations, that is also included. You know we often know that CBO’s are good at thinking out of the box. They are not cre 10 ative in doing what need to get done and mustering the right resources, we do what it takes. And this is out of our realm but some CBO’s even know how to rescue animals well. And I don’t know if you know but this is Mike Collins’ emergency preparedness plan, Mike are you here? That is, so I want to say that Mike still needs help with his plan, but - - it is, he is on his way and keeps - - and flotation device but we are working with Mike for a better plan. It is creative. Speaker: Downstream. June Kailes: CBO’s can also access networks of services out there, faster and better than untrained people. We know the networks and know where they are an how to access them. We also have that trust with the people that we work with, that is extremely unique and helpful. So, NGO’s can partner in assessing a- risk individual and working side by side with shelter people. And offering emergency medical assistance and reducing the needs that drain medical emergency kind of resources when people can get what they need in shelters. So the recommendation - - CBO’s can be key players in forces multipliers to extend the reach of emergency managers, and increase planning in response and recovery capacity and networks. So we need to be included in terms of partners both in shelters, and other disaster assistance centers to help at risk individuals who, we can be good at triage and prevent people from deteriorating and help people get what they need to regain health and mobility and meds and then they can maintain themselves in the shelters. So, CBO’s can help shelter personnel distinguish between people who can make it in a shelter and people that really need medical assistance, that can be done through what I call “fast “: fast, and functional assessment service teams. That we can actually get in there and offer that help to a core of trained and registered people who have the knowledge about the population we serve and resources that are needed. And we can get, muster those resources quickly. And prevent institutionalization. So, people with disabilities, we need to recognize are indeed not only victims, they are responders. Many of the organizations are run by and for people with disabilities, we have all services in California, but they are significantly unutilized during disasters and they can be quite helpful in response and recovery. So, people with disabilities can be responders. So the recommendation - - we need to ensure is FEMA as well as state reimburse NGO’s or CBO’s or response and recovery services and that our roles are clear, and pre-planned for. And focus on intermediate complexities of recovery, the housing, and shrink peoples transition back to usable housing. 11 After the gulf hurricane, this proved to be a Herculean task that includes having to sue FEMA regarding accessible trailers. It took a long time to accomplish getting the trailers to be part of the supply. So, in terms of housing, we have other issues here. Talking about transitioning back to where we are, we have to deal with an ongoing Catch-22. For people with disabilities who work and were home owners, the insurance payouts are not enough to rebuild, or pay off the mortgages -- the existing mortgages. People cannot afford to keep paying mortgagees and taxes on homes they cannot live in. The contractors are nearly impossible to find. And people are concerned about if they do rebuild, in a city and neighborhood that lacks infrastructure, what is going to happen if there is no transit or health care or if there is no shopping, if there is no personal assistance. Is the investment going to be wasted, they are rebuilding if the value of the property equals anything. And then we have the new building codes, that said everything has to be built three feet off the ground. Think of the added expense there in terms of ramps and average government pay out, right now, of sixty thousand dollars. Not enough to replace a home. So, recommendations - - last recommendations, we need to go-to persons here in California like in other states, that will orchestrate that and bring it together, someone to oversee and ensure adequate planning that incorporates diverse needs of people with limitations in all of these preparedness and response. And that is the capacity so that programs and services are accessible and do accommodate and include of our diverse needs. That go-to person, this go-to person could encourage and help find and sustain CBO’s’ involvement and integrate disaster work into their mission as well as help them participate in these teams, that can go out and help with response. Teams that could be integrated into existing state and local emergency systems in ways that are flexible, and collaborative. And, a person like this could also work on establishing mutual aid agreements, integrate skills of CBO’s and also ensure that they are funded and reimbursed for the efforts they put in to response and recovery efforts. So, in terms of where we go from here. Our charge today is to convert work into action that yields a solid return on our investment. How will we make that happen? For the disability community, it mean that is one more priority to our already overly packed busy schedule. And, it means added detail and depth and commitment to what is easy to say, but hard to do. Nothing about it. The charge is about making this real. Being at the table. And understanding what leads to involvement and actions into local and state networks. And it is also about acknowledging that we are only as strong as our weakest link and we must hang together on this. 1 Just as we worked to pass the ADA, the act to cross disability and aging perspectives and we have to broaden our definition so that we are not just using the “D” word, and threatening people that we need to be included. So we are only as strong as our priorities and commitment and energy allows us to be. For you government people here, California types, I know that a lot of what you hear today will sound overwhelming. But, the message is, you don’t have to do it alone. You don’t have to know it all or do it all. You can increase your effectiveness and reach by using us as partners, to share the plan, and if there are no plans, then let’s create them together. Together we can be more effective in pr- testing that large and diverse population with a smaller margin - - so I think we need to create an action network of some kind to continue the work we start and highlight today. So just remember, throughout the day, if we always do what we always did, we will always get what we always got. Is that enough? Knowing is not enough, you must apply. Willing is not enough, you must do. So again, to get that return on our investment, it is our safety, it is our lives, don’t give up, fight the fight, and make a difference. To expect less, to demand less, doesn’t, that is injustice to ourselves and those who come after us that is it. Thanks. Teresa Favuzzi: That was great. I am so impressed, June, you actually stayed within your time and everything. That was excellent. June Kailes: You threatened me over and over again. Teresa Favuzzi: It worked. Thank you for noticing. Grace, where do you want to sit? Grace Koch, Governor’s Office of Emergency Preparedness: I guess I’ll sit over there so everyone can see both screens. Teresa Favuzzi: That would be great. June, can I have you move your chair so people can have access through. June Kailes: Sure. 1 Lay of the Land 9:45 - 10:15 Speakers: Grace Koch, Deputy Director, Preparedness & Training Division, Governor’s Office of Emergency Services Jessica Cummins, Deputy Director, Planning, Research, & Emergency Preparedness, Governor’s Office of Homeland Security Teresa Favuzzi: Next up on the agenda is Grace Koch from the Governor’s Office of Emergency Services, and she is going to begin discussing the lay of the land, how California’s system is set up, so that we are all on the same page. When she’s finished Jessica from the Governor’s Office of Homeland Security, thank you, will present after that. Are you ready? Is your Powerpoint up? Grace Koch: Yes, okay, well, I am going to try to toggle, I think it is. Well, as we are trying to work through the technical issues and if anyone has expertise it was working earlier. We can go and - - try to - - Speaker: I think you need to power up again. Close out. Grace Koch: Sorry, maybe we should - - take a break okay. Is that okay. Can we take a break? We are ready. We have connections. As you make your way back to your seat, - - we will give them a few more minutes. Okay? Thank you and sorry for the technical difficulties but we got going. I am Grace, Deputy Director of Preparedness and Training Division, of the Governor’s Office of Emergency Services, where I have worked for 18 years. It is always a privilege to present with June, and presenters that you have today, there is a lot of information that you are you are going to receive. June’s alone provoked a lot of thought and ideas, and it is also encouraged, because the passion she brings and dedication help government and public in general, get where we need to go. My charge today is to provide you with a lay of the land and describe OES and how we work together during disasters. We have a three minute video that we would like to play that is captioned and describes the system, three minutes, there is a lot of different pictures up here, there is one explosion that might be startling, it is a van. But it is three minutes and I think you will get an idea of how we work in California, which is quite different than other systems that you saw in Katrina. (video - -) 1 Grace Koch: Hopefully that gives you an understanding of the system we face in California, and our mission if you want to bring the slide up, the - - hit okay - - hit it again. Go to slide show. Up. The first slide, our mission as defined under the Emergency Service Act is to assist California in mitigate, planning and recovery in disasters and in human caused events, Our organization is comprised of not quite 500 people, and we have a Director, Chief Deputy that oversees the 24 hour warning center and efforts that are statewide, and an Office of Public Information. And we have a legal office, and then four primary divisions: Law Enforcement, Victim Services, Preparedness and Training, Response and Recovery and Administration. We are not quite 500 and that is okay, because as June said we don’t have to do it alone. The state’s role is truly to support local governments, that is where the expertise lies, that is where the, closest to where the communities are. So we support them, they are the first responders and we augment and support their efforts. We coordinate mutual aid and help get resources, and provide state recourse sources and we also are the coordinating point for federal resources. We provide training and train and exercise with them. We administer grants. Coordinating federal resources is key, I think you saw in Katrina there was mass confusion over who was getting what and where. All levels of government were requesting supplies and resources, but there was not a system for getting them where they needed to be. In California we have a system and because of our history of almost 30 disasters since 1988, and over 66 gubernatorial states of emergency, we have a system that provides for an organized process of getting resources out there. Use of military assets, federal funding, and before and after and during disasters. And we also deal with the federal Department of Homeland Security. In the last year alone our systems have been used to respond to the 2005 storm disasters. A couple months later, spring storm disaster and also 2006 summer heat wave, and we had numerous fires throughout the year, rock slides impacting roads and businesses. And we had the governor proclaim a state of emergency for the levees. State agencies. Right now there is over 150 prime near state agencies throughout California, if you add smaller more one purpose or two person boards, you are looking at 300. There are over 2,000 state employees up, they can all be brought to bear during a disaster. One thing that is apparent in California is that we need to have lead state agencies leverage their expertise. It is not OES’s role to be experts on public health or levees or fire, but we 1 coordinate those state departments with lead roles. And we have partnership, the first time I heard June was in DC when we went for a national summer looking at events of Katrina and put into action a plan, that has been sustained over the course of the year, for improvement in how we deal with people disabilities and elderly during disasters. That working group is including Department of Aging, Rehabilitation and Social Services, the Department of Homeland Security, the State Council on Developmental Disability, California Service Corps and input from the California Department of Health Services, the State Independent Living Council and Department of Mental Health. When dealing with the magnitude of events like Katrina it takes all of the subject matter experts to really put forth planning and procedures, effort that means something to the public we serve. The disaster role, some of them that you will hear today, Department of Aging provides support to care and shelter, they can use notification warning systems through their areas on aging, and other partners they have developed through day-to-day missions. They have medical health expertise too. The Department of Health Services is the lead agency on care and shelter, they have emer- gency support teams that go out during disasters that work with June’s proposal for the Fast teams. They maintain a care and shelter plan, provide support and access food programs and language services. As we found with people with animals, they need to deal with the fact that the American Red Cross will not shelter animals, they will shelter service animals but how do you plan ahead of time to deal with people who need to evacuate with pets. We know people will stay in harm’s way if they cannot take pets, so we are working with the CARES’s system which is California Animal Rescue Emergency System that is planning an effort to address that. The Department of Rehab is one of biggest champions and I am privileged to know Richard and he has a permanent seat in the center. His view champions the cause of people with disabilities. He advised OES and social services and any other partners on disabilities issues, on shelter and recovery. The department of developmental services has a multitude of services throughout the state. Fire, medical and health services, provide a construction engineering expertise that can be brought to bear during disaster as well as back up generators that are located throughout the state. The Office of Homeland Security, Jessica will come on right after me and their focus is primarily terrorism and homeland security. They do funding, planning and coordination and they are responsible for the Golden Guardian exercise, which is state-wide, full-scale exercise. 1 The state Council for Developmental Disability is another partner with a purview and responsibility in the area of communication. Through area board offices they can support legislation in the area of improving policies and practices that achieve self-definition, independence and inclusion for people with disabilities. The California Service Corps is a lead agency for volunteerism, you will hear today from them about their efforts, that they are really trying to engage the non-governmental organizations and public in aid during disasters. We have a great website that you can plug in to volunteer and they have training programs that equip communities to respond effectively. So, with that, that was brief partners. As June, I think, laid the framework, it is not enough. We have to continue to sustain partnerships and turn the practices into actions, and develop the response system before the event occurs so we can have our plans in place, and training and exercises that will effectively respond. By law, the state and department are required to have plans on how to deal with emergencies. We have a governing plan that includes a multitude of documents that are set to a particular event, for example, the state plan identifies the process in which we respond. You will learn how we are organized from this three minute video. Supporting documents are more specific and drill down into areas such as public health emergency or agricultural or earthquake specific guidance. We don’t have 8,000 plans out there that no one reads, we have a system that allows for a structure to be developed and adhered to and we have specific discipline plans that govern how the nuances are addressed and identified for different threats we face. And we have a system requiring local government through guidance to use the state plan, to drill down in to local efforts. Some of the most value-added efforts that our occur in the local level and include non-government entities in the planning so they are already included, roles are understood, how they are going to respond is worked through before the event. One thing that is important is that regardless of plan, our focus must include information and guidance on how to deal with and include people with disabilities, elderly and people with animals. One effort in order for the state to be more prepared, administration required that all state agencies update their continuity of government plans, that is the plan to identify essential functions. Those are the functions that the public expect to continue despite any event that 1 either renders facility inoperable, like widespread flooding, but are essential functions that the public need to have sustained. We have to have a back up plan and relocation plan and procedures on how the services will continue. The information on website on the plan, 92 state agencies have submitted the plans, we are going through a process of identifying state wide focus for state wide plan. And then an exercise process that will validate the plans so we can continue to provide services that many of you, all of you expect to continue. One effort that - - I’ll spend time is on a plan for heat emergencies. And, that was a reference from the support document to the state emergency plan. That 13 day heat wave caused the death of 140 people, some of the state’s most vulnerable. When those events started to unfold the governor’s office immediately asked his state department to assemble and look at our response plans and our contingency for heat emergencies, that includes, briefly, Office of Emergency Services, Department of Aging, food and social services, ILCs, and California Service Corps, the CEUA and association of all utilities, water and power and telephone. The Department of Consumer Affairs, Department of Rehab, emergency medical and franchise tax board, as well as a multitude of associations partners, league of cities was represented, California association of county governments, the in-home support services were represented, welfare directors, ILCs, and a multitude --anyone that we could reach out to review our plans and methodology. And they came up with a plan that is final and it will be on the website by the end of the week, including information on getting information. As June’s presentation described, those who may not be connected to a website, how do we reach out? Through the skilled nursing centers or meals on wheels or welfare director or reverse 911 and a system called 211 system. A couple of efforts, planning efforts that we have, we look at regional 10 county events that require evacuation and shelter, there is an effort in the Bay Area, ongoing planning for pandemic planning and an executive order requiring that state identify continuity of government but also focusing public/private partnership and volunteerism. The state-wide mass evacuation plan which is under - - we are revising the plan based on the lessons from Katrina and we are starting a committee that I hope June will sit on to re-evaluate our assumptions for evacuating mass populations like the Bay Area and Los Angeles. We work with Caltrans for transportation issues and held conferences with planners, and are also having independent gap analysis to identify the state’s most vulnerable or gaps that we have in emergency response. 1 Briefly there are policy changes effecting people with disabilities and elderly. SB 1451 requires those representatives to participate in the state and redesigning your plan, dealing with annals and animals and executive order, that is elderly a buses for elderly report that was done by stake holders. Those are a few of the areas of state that has embarked on and I know that I went through those briefly and know it seems like a lot but in light of June’s presentation we have a lot more work to do. With that, I think that Jessica will come up and take questions jointly. Thank you. Jessica Cummins, Deputy Director, Homeland Security: Good morning. As Grace said, I am Jessica, and for me, like Grace, our office became very exposed to the vulnerable populations. Purposes with disabilities and issues we needed to look at in Washington and working with June and Richard, it certainly opened our eyes and made me sensitive to the issues that we have to incorporate. My background is law enforcement. I was a police officer in Oklahoma City, I was there for the bombing and major federal disasters and came out to California in 2004. My background at looking at people with mental handicaps and aging has not really come into perspective until we were altogether in January in D.C. So, I appreciate the fact that we are invited here, and to give you an overview of the office of Homeland Security and what our job is to the state and citizens. And I am the deputy director, for emergency preparedness. Our role, OHS is the Office of Homeland Security, we advise the governor and are the liaison to the federal Homeland Security, working with them to get information. So the state is involved. We are the state’s agency for grant funding and we pass those on to all state agency and private entities, and we pass those on to the fifty-eight operational areas of state. As Grace mentioned we are responsible for training and exercises related to terrorism, this past year we hosted a training exercise Golden Guardian we have the state exercise-- that we try to involve as many state agencies and public agencies as possible. We went over the 1906 earthquake and looked over evacuation and moving those people to Fresno and treating them, to stockpiled chemicals and things they might have been exposed to as a result of the quake. In addition we have a chemical release center there to try to see the response and handle that, and we had three different scenarios going on simultaneously, the Office of Emergency Services was a significant role player in that training exercise. Critical infrastructure is protection of key resources like banking, energy and finance sectors and, within the state of California, there are over 300 different infrastructure sites that are identified to be important to the state and national economy. 1 If you think of Long Beach and Los Angeles, the ports, it is 33 percent of the nation’s commerce to the rest of the United States, so we focus on critical protection, the grant is called -- and chemical zone protection grants. We look at information sharing and our primary role is not necessarily response and recovery, that is OES, as well as their planning and mitigation projects. We are trying to detect any signs of terrorism, and deter and defeat them through looking at chatter, open source and world wide on open source as well as working with the military and FBI and other federal law enforcement agencies. We aid in the implementation of Homeland Security presidential directive throughout the state. Right now there are 15 homeland directives, from implementing national response plan to food and security. We also help in placement of the national presidential directive, that is over sixty-three of those directives related to maritime awareness and other types of military issues. We look at federal, state law and mandates, legislation and related terrorism and home land security and how we implement that and work with partners to incorporate and focus on terrorism. We know what is going to happen, we are going to have another event, which it is going to be something intentionally done, or release of chemical or if it is going to be a natural event, we will still be involved, but our focus is usually on matters related homeland security. This is an organizational chart, the office of homeland, we have director, assistant director. In our office last year prior to my appointment, there were eight people looking out for the state of California related to terrorism. Now we are up to sixty and I believe there was a bill over the last week that we will probably merge with the Office of Emergency Services, because we do a lot of same roles and issues. So we are looking at being rolled into that office. Currently we have a deputy director of exercise and training, related to terrorism. We can -- we have a whole unit dedicated to coming out and putting on exercises, we also have the office of domestic preparedness that provides free funding. We bring out trainers and go off-site to any of the five training areas throughout the United States. Louisiana, New Mexico for explosives training, Alabama for chemical training, and there is Nevada and Texas A&M related assessment training. So if there is a need for training and we can tie it to terrorism we can get that training to any entity, public or private, and it is free, because we have the grant to do that, as well as help place exercises. Let’s say that you in this room want to put on a exercise, we can use the exercise colleagues or workers and develop an exercise specifically related. We have a deputy director of affairs, liaison to any federal agency, and we coordinate 0 through that. Deputy director for, of external affairs monitors bill tracking at national and state levels. We have a deputy director of grants management, next week we anticipate four people coming to look at our grant application on the behalf of the state. Last year we received two hundred thirty two million dollars, the largest award in the United States, for the state of California for grant funding. In the next three days we will look at the different vulnerabilities that the state has, write up projects on behalf of the state and ensure, hopefully, care - - you are not going to be there - - but we want to make sure that anything associated with vulnerable populations or persons with disabilities that we incorporate into the grant, need training and maybe new equipment that might be needed throughout the state based on the population of individuals that has need of that particular transportation. The next three days are important to us in the planning process, the Office of Emergency Services will be there, as well as the other state plan agencies. Deputy direct for planning, my particular responsibility is not only homeland for the state of California, starting to slow down, it is also continuity of government and operations planning for the Office of Homeland Security to ensure that we continue functions if something happens. Also liaison, preparedness toward maritime security and implementation of national incident management with the OES, pandemic and there is one other that I don’t know; Patrick do you remember? Nothing that is too major. Certainly liaison, that keeps me busy. Director of critical infrastructure - responsible for database feeding in to the national database called a camp system. That is where we rely heavily on the operational areas, locals to tell us what they believe in their community are most important sites that need to be protected through federal funding that can provide information to first responders, and in this status, data we call first responder package. Take, for instance, the Oklahoma City bombing, when the bomb went off, and we got there, and we were not sure what happened, if it was a gas explosion or who was on what floor and we knew we lost half a building an we had lots of things to go through. We didn’t have instant information on the building, who was on what floor, what other materials would be in the building. So, what is going to happen with this database is we will put together a first responder package. What kind of chemicals are inside of building or other dangerous things? How many people? Who are tenants? What are evacuation routes? A lot of information that we needed that day rather than get hard maps out, this is available to the incident commanders. The last one, deputy director for of information sharing, analysis, that particular office oversees, we have a state terrorism threat assessment center and two regional assessment centers. Those are in alignment with the four FBI offices in the state, in Sacramento, Los Angeles, San Diego and San Francisco. 1 We tie in the work of the joint task force to look at any information that is going on and disseminate that information to local or private sector and pass that information on as well as keep the governor advised. We have other projects that are federally run, by the department of homeland, called bio watch program. Our primary partners, Office of Emergency Services, California Department of Health, emergency medical, currently looking at funding several California medical assistance teams and I am sure we have enough medical teams in the state to respond. California was one of the leading states deploying critical capability to Katrina, but if we deploy people out we need to maintain resources in state in case something happens. California Environmental Protection Agency, oversee the chemicals through the state and we have to work closely with them because of critical infrastructure. The California Service Corps, who manages volunteer resources that show up when an event happens. California Department of Food and Agriculture. Hopefully you are aware of Taco Bell break out. We work closely with CDFA, funding Western Institute for Food Safety, providing training to not only first responders but others, in food and safety, we work closely with the California National Guard to facilitate resources they have. And Fish and Game, because they are responsible for spill clean ups. Our objectives, reduce vulnerability and recover as quickly as possible from the event that happens, there are dollars that depend on the California economy to the United States. So we have to recover and maintain our economic viability. Our methodology, national strategy for home land security, we look at that and we specify that to the state of California and then come up the state wide action plan. Four missions are prevention, protection, response and recovery. We mainly focus on prevention and detection and then we hand off to the OES, our area is prevention and detection. The six critical areas that we look at: intelligence; border security; domestic; protection of infrastructure; and emergency procedures and response. Making sure that we get the other funding from the other agencies that need that. Why do we need to review, because it is a dynamic process, changes based on what is happening worldwide. We need to take the lessons from the London and Spain bombings and implement those and make sure that California is up-to-date with what is going on. We want to ensure that we are successful as state grant application and make sure we get the most amount of money, because the nation is dependent on California’s economy. It is the fifth largest economy in the world, therefore it is significant. If you laid that on the east coast it would go from Delaware to Georgia, that is the mid-Atlantic states we are talking about. We want to incorporate all new initiatives, all the new laws. National response plan and then, Grace mentioned that is focused. We want to maintain consistency and optimize research and incorporate that on plans - - and science and technology, maximize emergency response with local officials and state government and all the organizations that June mentioned. And then make our scenario specific to California, what are the most likely things that might occur in California, what will happen here? And I believe that is it. This is the contact information for my office and I believe that Grace will take any questions, if there is time. Teresa Favuzzi: In the interest of time, are there questions? because we are running a little off schedule. One question… Speaker: I want to add on - - Speaker: Hold on we need to do the mike? Speaker: I usually don’t need one. I want to follow up on those busy work with public health and if you have not been in touch with the local health department you need to do that because we are all charged to look at planning for pandemic and in that is a large piece for special populations. And state department of health services will hold forums over the next few months starting in February throughout the five regions of California, and so it is good if you can be there and be involved. Thanks. State Agency Response 10:15 - 10:45 Speakers: Eddie Aguerro, replacing Karen Baker, Executive Director, California Service Corps Carole Cory, Assistant Director, Community Relations, Department of Aging, replacing Lora Connolly, Director, Department of Aging Carol Risley, Chief, Human Rights and Advocacy Services, Department of Developmental Services Richard Devylder, Deputy Director, External Affairs, Department of Rehabilitation (program begins) Speaker: Is Eddie - - I am right here. Welcome. So, let me get the mikes up here. Each of your departments has agreed to speak to us about what it is that your department’s response is in emergency preparedness, and, preparedness. And there is no particular order how you can speak about that and what I would like to you do is introduce yourself you have three or four minutes to talk about what you are doing, and how you are going about doing that. Richard Devylder , Deputy Director, External Affairs, Department of Rehabilitation: Our role, as Grace described, we advise and support the governor’s Office of Emergency Service and homeland and social services on specific disability-related issues in the emergency preparedness response and recovery. To give you an example, we do get called in to the state operation center when the governor declares a state of emergency. I also have with me at all times a CD of the different resources disability related from physical to mental health to hearing and visual disabilities. With me at all times so I can pop in and locate information and get information to state operations center, when they need it. The other thing we did in terms of Grace speaking with the mass evacuation plan that is going to be released, I held four meetings across the state in 2005 with paratransit and transportation service providers and along with law enforcement, both California highway patrol and local law enforcement agencies, I put them all together to talk about evacuation of people with disabilities and seniors. What came out of that are guidelines that we developed based on those meetings, for first responders and local government, it is key and important, and I’ll close with that and Grace talked about local levels. What we develop in the mass evacuation plan are guidelines and things for local government to think about, and for community based organizations to think about, their area in terms of insuring that all those things are covered, different almost covered in terms of evacuating people with disabilities in the plans. As I said in the conferences, for Caltrans, that it is a local government and local planner that is needed to integrate disability service systems into the planning process for it to work. And that is based, that is what mass evacuation is based on. Carole Cory: I do community relations. Lora was supposed to be here today, but she is in Washington. She was supposed to get back last night but I have not heard from her, she may have been held up. I’ll try to share what the Department of Aging is doing right now. We do have a disaster plan, emergency disaster plan that is on the website that anyone can access, download and look at. We also have a plan detailing our continuity of government and how to ensure the crisis line remains covered 24/7 and payments to the agencies on aging continuation of services, and also there is a process to communicate effectively within the department and with our stakeholders, with the agency, Health and Human Services and constituents. All ninety departments in the state submitted that plan on September 30. It was reviewed by OES and we - - the Department of Aging got a 93, we did well on the plan. It took a long time to get it together. Our disaster plan is on the website, and can be downloaded. And in addition, each area agency on aging with the guidance of local OES offices has or is developing their own disaster plans to be used in emergencies. We recently developed two sessions for the California Association of Area Agencies of Aging, C4A. And we worked with the Administration on Aging and the area agencies on aging and had a special program on disaster preparedness. We developed a brochure for seniors and that is distributed at conferences and health fairs and working with the Department of Health Service on shelter preparations. And DSS would be responsible for providing shelter in the event that Red Cross is overwhelmed. 40 percent of the population the department serves, care givers, older persons and people with disabilities, are impacted by disasters, we are working with other departments and agencies on developing a communication plan for during disasters. We have provided key employees with laptops and trail phones so that text messaging can be used. How community organizations and individuals can participate in our efforts. We are studying methods or identifying vulnerable populations. Some of the ways - - we are planning on is working with Meals on Wheels, brown bag and adult day health care and - - and in-home support services, and they all have lists of clients that if need help that we can identify and contact quickly. That is about it. Laura would have more to say, but that is about what I can think of now. Can you hear me now? Carol Risley, Chief, Human Rights and Advocacy Services, Department of Developmental Services: You will say why am I here, it is also the office of left overs. So, I got the straw and I am happy to have gotten and got my first real foray into it in Washington, it was a unique opportunity to hear experts who have lived through things like that. I happen to be a person that gets caught in disasters, no one travels with me, but I have been in earthquakes and I was out of state in 9/11 and I was in Hurricane Andrew, I have been stuck in a few places. The Department of Developmental Services serves 210,000 people with developmental disabilities, the majority of them with cognitive disabilities, along with physical needs. They also often are the people who are the hardest to reach, the hardest to help understand and plan and be prepared for anything. Disaster being or emergency being the subject of today. We serve them through a network of 21 regional centers, and also we operate several state facilities that range in size from 800 people to down to 600 people. And we have been struggling with what to do. It is almost overwhelming when you hear all the things that you heard from June and all the things that need to be done, we are feeling overwhelmed. Where you do you start and where do you end, it will never end, you can never be too prepared or have too many diamonds. We have put together a committee and tried for diversity as we can, people with disabilities are on it. Regional centers are state operated facilities, providers of services that will be key player to us, those people that provide residential support will be key players to us in case of supporting people and families. We have a lot of population that live with family, particularly younger children but some adults still live in family environments. And related agencies, Department of Rehab, Aging and others that we feel that we need to communicate with about the needs of the population, and also coordinate with. You have already heard the issues, transportation, sheltering, folks with disabilities getting turned away from shelters for any number of reasons, mostly naivete about their needs, they think they need medical so they sent them to the hospitals. They are not sick. They don’t need to go to the hospitals. So we are beginning to try to just identify the issues. We have been fortunate to engage the services of June Kailes and her partner Brenda. Or that is her assistant. Right. To look at existing plans. Two things, our regional centers and facilities have plans. We want to look at best practices, what do people already know that we don’t know about. And also any gaps, using national plan review as the guideline and June’s group of people. And I think one of other main things we want to do, is enhance the ability of people with cognitive disabilities to plan for and be ready. One way is to give them tools, now you know it is easy to give you handouts, walk away and put it away, but people with these disabilities need a working tool to help plan, they just can’t take the paper home and think it will happen. So we are talking about consumerfriendly graphic materials, and actually help people develop their own tool. I also am of the opinion that many people have to shelter and place for 24 to 48 hours, I happened to get a chance to sit in on the Golden Guardian exercise this year, it convinced me more that many people will shelter in place. I also know that people who live independently or in supported living, their staff likely won’t show up. Why? Because they are going to be with their own families. And I think it is naive to think that these people will show and everything will be business as usual. How do you take care of yourself for twenty-four or 48 hours while you wait for that nonaccessible transportation to arrive? Which you know will be an issue. What things can we do, that is why we are here. We are tying to gather information and look at very good stuff that has been done across the state. In California we don’t need to reinvent the wheel, we need to adapt and get out to people. What can community organizations do? Reach out and be good neighbors to all your neighbors. I am convinced that our best source of support are the people that live next to you. And people with disabilities, at least, have a tendency to not want to know their neighbors. I don’t blame them, some of them are nasty people, they don’t like them or want them in neighborhoods, but that is what I’ll depend on, and in my house there is a person with a disability and I have talked to neighbors about the reality of that if I am not home. So I believe we have to get more neighborhood concepts going, and back to those days in general and more so for people with disabilities. You can help us field test products, to see if they make sense. You know we use graphics, we use videos, tapes, do they really make sense or do we think because in Sacramento we have all the answers, which we couldn’t, take my word for that. Materials, different communication systems. We are lucky to have organized case management system, I get alerts every morning from OES about what is going on. In a fire I am immediately on the line to a regional center to say check on the people that live in that area and I want to know if something is happening, do you know where are they and what is going on. I think that is one way that we are beginning to respond in a meaningful manner. As far as one other thing, I am concerned that we are talking about emergency preparedness. But whether or not the resources will be there, Jessica you are still here, I need money. I have to tell you, I think that at the same time we are talking about getting ready and being prepared, it is not a cheap activity. I would like to buy 50,000 to go kits right now for people living independent in our system. The budget process is just started. If you can do anything. Get to the legislature, let them know it is important. I am not supposed to say that I work for the government, I am here to help but the check is not in the mail. So if you can help, please do. Eddie Aguerro: Eddie Aguerro, California Service Corps, recently changed to the California Volunteers. You will see that out soon. I want to tell you about California Volunteers, or California Service Corps, however you want to hear it. I want to talk about the disability statewide task force that we have for inclusion and talk about citizen corps role in California and what - - I am going to use the ACSC, California Volunteers. Maybe I’ll use CV sometimes. And I want to talk about the specific project, and a little bit about next steps. So bear with me, I have five points here. First of all, I was thinking about this group, so let me add this little personal piece. Everyone here are about same thing, and how ever we approach this elephant or wherever we touch it, it effects all of us. I am encouraged that we are doing this, I don’t think we do it enough. And that is what we are about with our programs. We have oversight over something called national service Americorps program and we also oversee citizen corps programs, and then we also administer Cesar Chavez data center, it is all about volunteer and service which many of you have demonstrated by what you do every day. That goes hand in hand with what we are talking about. The disability task force, inclusion task force is a particular passion of mine. We have California volunteers CSC organization gathered a number of people statewide and regionally at local levels to form something we call disability inclusion task force, for inclusion of people with disabilities in service and volunteer projects at local and state levels. I am happy to say there are a half dozen of you in the room that helped us in the state level and some at regional and local levels, thanks for coming. We also have the responsibility of citizen corps of California and for those that are not familiar, we have basic five areas that we work with, the Office of Emergency Services on that, Homeland Security and that is the Community Emergency Response Team or CERT. Medical - - neighborhood watch programs, volunteers in police service, and Fire Corps. And a number of volunteer partners and affiliates like the California Centers for Volunteer, Department of Education, CARD, these are other acronyms. Citizen Corps is a mechanism that Homeland Security uses to fund various neighborhood based, community-based volunteer service efforts. And so, as we go down the road of Citizen Corps I have one example that just rolled out for us, a marriage between Citizen Corps and Americorps and if you are not familiar with that it is a national service program, you might be familiar with the program called VISTA, in fact I would say there are VISTA among here. Anyway, there is a program that we launched, Citizen Corps, where we are going to place VISTA members at Red Cross chapters, volunteer centers, law enforcement, fire, various emergency disaster agencies locally and their primary purpose is to help identify and serve the underserved in the community. That could be people with disabilities or any other population in that community because it is community based. That is going to come out in the next 12 months in the form of various workshops and presentations throughout the state. So, keep an eye out for the VISTA project. On the disability inclusion team, what I want to do is encourage you to go back to your communities and if you need to, contact us. Also, that we have brochures on the way out if you would like to get them and they’re also available in other formats, just let us know and we will get them to you. We want you to plug in to local efforts where we can help each other. One main goal of our disability inclusion task force is to get involvement from diverse popu- lations, including people with disabilities, so we can be employing that resources. I am a little bit selfish in that realm, because I believe that all people are a resource and we can all be part of inclusion solution and the more we talk together the more we can do. The first lady of the Governor’s Office is in support of California volunteer effort and you will hear more about this, and hopefully you will be able to go on the website and do something in your community or a community you choose to be engaged. So, you will see us and you have heard our name and I want to let you know that we are you and you are us. Thank you very much. Teresa Favuzzi: Thank you, okay, so we have a fifteen minute break. And I encourage to you talk to these folks individually about the things that you may have heard. And we will come back in here at five after 11. (break) Communication 11:00 - 11:45 Speakers: Sheri Farhina, Executive Director, NorCal Center on Deafness Dan Kysor, Governmental Affairs Director, California Council of the Blind Richard Ruge, Strategic Development & Training Supervisor, North Bay Regional Center (program begins) Teresa Favuzzi: Time to bring you all back in. And we are encouraging, if he can, to move to the tables here in the back area, so that we have a little extra room. And there won’t be Powerpoints at this point, for the next hour. So, you won’t miss anything like important pictures. Okay. Welcome back, as I said before, we are encouraging people to move and take more of the room so we have a little more breathing room. We have a panel that is focused on talking about communication and emergency response. Each speaker has about 10 minutes to talk to you about some of the issues that are in the communities they serve and are part of, and then we will have 15 minutes of question and answer to talk about solutions. So, Richard are you first up. Richard Ruge, Strategic Development, North Bay Regional Center: Sheri Farhina, Executive Director, Norcal Center on Deafness: Hello everyone, my name is, it is still not on - - Speaker: Sorry. – I’ll get it. Sheri Farhina: Hello, I am Sherry, and I am a CEO of Norcal Center on Deafness, which is a service for the deaf and hard of hearing individuals throughout the state 24 hours a day, in northern and southern California. We serve deaf and hard of hearing folks, in from birth all the way to senior citizens, and all parts of daily life. We are thrilled to be here, I am thrilled, thank you and good morning. And off to you, Richard. Richard Ruge: Testing, is this karaoke?I work for North Bay regional center, it is a program that we serve Sonoma and Napa counties and I am involved with June’s advisory group. Dan Kysor, Governmental Affairs Director, California Council of the Blind: There we go, hello, you can hear me, it is good thing it is not really karaoke. I am director of affairs for the 0 California Council of the Blind. We are in existence since 1934 and we are composed of 40 chapters throughout the state and we are, we have blind and visually impaired Californians of all races, shapes and everything. It is a pleasure to be here, thank you, Sheri Farhina: I guess I am starting, all right. I, as you can see, we have a diverse communication needs already, that is obvious. It is difficult to try to explain our communication issues within 10 minutes, but I’ll do my best and try to condense and consolidate as much information as possible. I have been involved with a variety of national organizations, trying to make certain that deaf and hard of hearing individuals have access to emergency services, of course, whether or not it is prepared for it, or reacting to it. Proactive or just last minute, most specifically there are two organizations. One, a woman named Judy Harkin that works with Gallaudet University in Washington, technology access program. And the other one is Carlean, she is a director of TDI, a telecommunication national organization focused on telecommunications . That organization is very heavily involved with the project, on a national level. Our issues related to communication access, specifically emergencies, every which way, any which way you can be contact in the case of emergencies for people with disabilities. We really need access related to communication, access related tools, there are so many gaps, wherein emergencies show up and happen, there is no communication for deaf and hard of hearing individuals as of today. The government activities related to communication, there is still no access to deaf and hard of hearing folk. Public broadcast for example, captions on the television, during emergency broadcast and times of natural disasters. As of today, live news reports are not 100 percent captioned. In fact we just had an emergency last January first, we are here, we had flash flood warnings, and there was not one captioned on the news for the deaf and heard of hearing folk, not one. We had warning and communications related to - - let’s say there is a safety and shelter for people to go to, no communication for deaf and hard of hearing people, not any. We still have issues related to communication during times of emergencies, obviously. As those two points illustrate, issues related to policy and technology for access. 291 for deaf and heard of hearing, an enormous area of my focus. In fact, last January we set out the national 911, it is a state stakeholders commission involved in users who are deaf or hard of hearing, and vendors of relay services, providers. And the federal partners, FCC, federal communication and DOJ and DHS, Department of Homeland Security, and reason for that, was because nowadays, deaf and hard of hearing people have relay services, relay, IP relay, hooked up with new technology, it is called video relay services VRS and IP relay. 1 The protocol is used much like the old TTY, these things, these services are still not accessible to 911 or emergencies, in any of them. I am not sure if you recall in the past. In 1985, 911 was first established in 1985, there was no way for deaf people to contact 911 directly, not any way, and as a result, many deaf and hard of hearing people lost their life, suffered a great deal of course, because they could not contact 911 in any way. The law today, we have laws of course, we have TTY, old technology, you know they can contact people, the point of contact person, but even today when there is an emergency, it is not going as smoothly, there are still huge gaps in the system. We still have issues related to emergency warnings, through email, wireless devices, emergency systems such as - - emergency notification system. How can they find a way to contact deaf and hard of hearing people? Reverse 911? Perhaps. There is their type of reverse 911 simply, there is no way to contact deaf and hard of hearing people. It is a great idea, but impossible to contact every deaf and hard of hearing person in the United States of America. The priority for getting a hold of us, in any emergency, that priority is not at the top of the list. By telephone or TTY or video relay, it is not a priority and we cannot contact them, there is no way. Also, an issue related to coping with bad communication, inferior or loss of often times inferior communication, and delay in response to any 911 call that is actually connected. To give you a sense of the type of situations that I am referring to, a deaf woman in Indiana was using a TTY, a typewriter for the deaf and her husband was going through shock, diabetic shock and kidney failure. There was no response on the TTY when she used it, she had to send her daughter who also happened to be deaf to drive a few miles from their home to the fire station, the closest fire station get help. Face-to-face, that is the only way they could get help. Last summer, in the state of Maryland, a deaf man who smelled a strong odor of gas from his home and he quickly got his family out and while he did that he dialed 911 and left the receiver off the hook. He grabbed his laptop on the way out of the home, and as he got out of the house, he tried to contact 911 through video relay and failed through his computer. The IP relay where you have an operator on the other end, he looked for another land line to call the local fire department, couldn’t find it, all of these efforts failed. Meanwhile, of course, he was still in the midst of an emergency During times of natural disasters, or emergencies such as we had to deal with different situations where for example evacuation notifications happened, specific areas for example, if there is a flood or there is city north of here, and the entire time town was flooded. It was terrible, a trailer park where it happened, a woman happened to be sleeping and she woke up waist-deep in the water because the notification doesn’t get to her, she had no idea and she happened to be deaf and was left out of the notification. Before that, they had gone out with the mega-horns letting people know, get out now, and of course the deaf woman cannot hear and she found herself waist-deep in water because she didn’t have access. Situations like this happen all the time. Hurricane Katrina for example, that was a terrible disaster and different, different situations. Or in cases of fires. But at the same time we can smell the fire, but -- the point of fact is when it comes to notifications, for deaf and hard of hearing individuals the system is not in place, it is failing miserably. Norcal is participating with the Department of Rehab, we are working with the Office of Emergency Services, trying to remember exact list names of the organizations, state organizations, that coordinates drills, exercises, where for example there would be one area, there is a terrorism attack and another area a chemical spill, another area a bomb exploded for example. And every situation of the emergency responders have failed to be able to communicate with deaf people, alerting or notifying them and letting them know they need to get out, each time they fail. The list is too long, areas, individual areas, and situations that we have asked for improvement that we need improvements. So, that to try to touch upon, you know, different situations, where notification of deaf and hard of hearing folks are imperative and share the basics of --there are so many improvements that need to be made, policies need to be set up and improved, set up, implemented on the governmental level, to work with us and emergency responders to better serve our community and population, and there are communication needs. Thank you. Dan Kysor: I am a survivor. I lived in a neighborhood where then-President Nixon declared our neighborhood a disaster, and I was survived that injuries, actually, I was quoted on the radio as an “eye witness” --that was really funny. They - - the one thing I learned from that particular disaster was that, roadblock situations where the National Guard had all the roads - - you had to go past a table and sign in and everything. I didn’t know that table was there and I kept walking through and “Sir, freeze.” It got to the point where I was freeze -- lie on ground and that sort of thing, I don’t know what they thought my dog was for. But at any rate, it was a sad situation and I don’t think things have gotten better today. This was back in 1972. One of my roles also in --I am an amateur ham radio operator and I love June’s statement where she talked about as a disabled person you can be a first responder, because I was working communications. I was net control station for something called Western Public Service Net, on the 40 meter band which is a frequency, where we passed health and welfare traffic to families in the Mexico earthquake, back in the mid-eighties, and I was also passed health and welfare traffic to families in the Loma Prieta earthquake. As a disabled person I felt equal in this situation, I was able to help. But one thing that we have been hearing and I would like to stress is that an emergency condition can be as simple as a personal emergency with an apartment fire, how are you going to get out. And people need, everyone in this room needs to think how will they get out of the building they live in. How will I get out of this building here? By the way, did you check the levees here? It looks like a big building, it is probably okay. But the point is, that we need to know at all times how are you going to evacuate a building? So, since 19 --the mid nineties we have had a state law requiring that all public buildings have an evacuation floor plan. Blind people have no access to a rendition of a floor plan, tactile floor plans are impractical in a lot of ways. In an emergency you don’t have any time to dash where is the map, let me look at the map. And they are costly. So one thing that the American Council of the Blind has been looking at is a method to have an auditory evacuation sound, one system tried was if you were coming up to a stairway that was like a beacon, every time you walked it would be a steady noise and then you got to a stairway and it would be a descent noise. More work needs to be done on ways of finding systems in buildings and large structures to get people out, and I would say not only auditory but my friend Sherry over here has just demonstrated we also need a visual evacuation plan, for people with hearing loss. My organization, California Council of the Blind, sponsored SB1451 that requires that all committees put people with disabilities on the sub-committees like the evacuation committee and all the other committees. And we know that in our bill we will require the state fire marshal to start looking at way-finding research. I hope that all of you in the room hold the state fire marshal’s office to that mandate that the governor signed because we really need to work on these evacuation processes. There is a study done by the United States Department of Commerce, talking about media preferences of blind and visually impaired people. Television and radio came out number one. I believe June already addressed the issue about a scrolling visual ticker over your television set depicting the emergency situation. I like to refer to it as - - and that is very helpful to me, let me tell you. That does absolutely nothing but wake me up. Emergency, but emergency -- we need audio and visual descriptions required by law. I notice that, I suggested to Gene today, and maybe you will help us, that is there are several bills going through the legislature and why not add to those bills and require audio descrip tion in California and video description on television of emergency notification, because it is state funding folks. So I hope we can do that. The other issue that we have is a lot of the input of notifications for local governments for getting people involved in preparation and learning about the check list and all of that stuff that you need is in print, and/or on websites --that it is inaccessible. The majority of blind people are seniors that don’t necessarily know the web, because they are recently blinded and/or low vision and they don’t have that access. So, it is a challenge trying get newspapers, mailer, checklists, notifications out to people, because that is a big barrier in communication to people who are blind or visually impaired. That is it, really I don’t want to take up any of my partner’s time. But thank you very much. Richard Ruge: I am very excited to be here, and I enjoy talking about the joy of, power of disaster preparedness. I want to talk to Benny, June’s friend. That is why we are all here, so we don’t have any more unnecessary deaths and trauma. Disaster preparedness is the most powerful curb cut issue that encounters, it opens doors that we want to pass through for decades, and I had --I lead the northern California SSI task force and I spoke to one aide from congress locally and one in Washington. And, through disaster preparedness, I called together six offices to talk about it and community leaders, legislative offices, people in the state, and in the counties, have wanted to talk to me about this issue. So, people do want to talk to us. No one wants to turn out like the mayor of New Orleans or governor of Louisiana. I have bad news and good news, actually great news. First the bad news. On communication barriers that I have seen over the past 10 years, pre-Katrina. What I discovered within myself and others, there is tragic, unexamined and assumptions about disaster preparedness. The emergency system has limited knowledge of vulnerable populations, our number and needs. Vulnerable populations have limited knowledge of emergency services, their capabilities and resources. Also, I have found this: some populations might not consider other populations when they do their findings, and they need to bring everything and everyone together. When I discovered this was an issue I went to the Red Cross, and asked if they are ready to shelter the 22,000 developmentally disabled people in the county, and she asked me to describe their characteristics and I did that, before I finished, her eyes got bigger and bigger and she said, you do it. As June pointed out, there is a “we don’t do special needs” issue. So then I got interested, going to the Office of Emergency Services in California, up here in Sacramento, and got on a couple committees, just by my own invitation. I suggest you do that too. I talked to an OES representative on a break and said, who is responsible for vulnerable populations. He smiled and said, everyone is. And so then I went to FEMA training, because I want to talk to the feds, and I asked the same question, who is responsible for vulnerable populations. He said it is - - it is a hole. A hole in the system. So, one thing that we really need to realize, in a county Office of Emergency Services, all three turn personal estimate that if an earthquake like the 1906 earthquake occurred with the population of five hundred thousands there will be 5,000 deaths and 30,000 injured. That is 30,000 new disabled people. And we need to take that into account. That when a disaster occurs, new disabilities arise. So we need, emergency services if you look at it, they are under-staffed and under-funded and they are overwhelmed now, if, even without a disaster, they could not take care of us all. We need to, we really need to be involved. Now let’s get to the great news or possible solutions to identified barriers. First thing, I have five recommendations. First, thanks to President Kennedy, give up thinking about what emergency services can do for us but what we can do for them. We really need to start thinking that way. My second recommendation, recognize and demonstrate the joy and power of disaster preparedness, make it a way of life and recognize daily that survival of us and family and friends depend on our active involvement. My third recommendation, vulnerable population advisory committees are established throughout the community. As you notice in all the slides, there was not any vulnerable population committees, or representations. So, we need to add those to the slides. Make certain that your local agencies’ advocates are active live participating operational areas and committees are they want to listen to you, and want your participation. There are funds that we can access, but we must be at the table, I am regularly asked to participate in grants and I hope we talk about grants this afternoon. My fourth recommendation, we speak of disaster preparedness, we speak in three distinctions. Focus discussion, discipline and in the bounce all over the place when you plan. You notice that happens when you talk about preparedness. Think of it as a large and complex puzzle. When we talk, we need to be clear about what section of puzzle you are working on. And three distinctions - Individual preparedness. Community based preparedness. And infrastructure preparedness. Fifth recommendation, state and national protection be adopted, we must all agree on a shared vision and what our goals and objectives. We must include all sectors and create a sense of urgency. Are there working model programs? Is there working models for personal preparedness? Absolutely, go on the net and get yourself stuff to be prepared. Is there working models for community based preparedness? There is a good one developing in Santa Rosa called Cope, which is being created by seniors beginning to prepare themselves in their neighborhood. I propose that our consumers begin to prepare their apartments and neighborhoods in case of emergencies. As Carol points out. If any one of us needs to be rescued in the aftermath of disaster, which includes me, more than likely it will be a neighbor. Not a first responder or social worker, attendant may not be able to cross police barricades, we need to get to know and prepare with our neighbors. Is there working models for preparedness? This is where the work need to be done. We must be establish a state and national protection policy so we know the vision and we must establish those advisory committees, throughout the structure. We must clarify roles and responsibility throughout the structure and we know who is responsible. Right now, we don’t know. We must clarify funding streams so those that are responsible can be funded. We must train neighbors and business and non-profits to shelter in place. We must train on how to put our services and businesses back together, and communications systems must be put in place, which will be down during disasters. We need to deal with issues of medication retention and with attendants crossing the police barricades. In conclusion. The general population has not acted on emergency service warnings or brochures or plans. I see our community energizing the general population. Think of how we will be thought of by neighbors if we inspire them to prepare if a disaster occurs. We have the opportunity to be leaders, the doors are wide open, please pass through them, if you have not done that yet. Great joy and power is on the other side. Teresa Favuzzi: So we have some time to actually talk to each other, and, if, do, are there anyone with questions for the panel? Dan Kysor: I have one point. I just wanted to mention that two counties in California are doing an excellent job at providing alternate formats for emergency preparedness information, Los Angeles and San Francisco. I would be remiss if I didn’t mention those two counties. Teresa Favuzzi: Thank you. Are there any other questions? We have two and I am going to give Kim a mike and we want to make sure people use the mikes. Please. Speaker: I am from the state council, you propose excellent recommendations but obviously they are daunting, and do you envision how they can be divided up so that everyone takes responsibility in terms of state agencies? And local communities? Richard Ruge: That is where I talked about, why I talked about -- that is why I talked about you begin to think differently. To me it is not overwhelming or daunting, we need to break it into individual sections and take part in the process, and realize that what is on the other side of that, is great joy and power. One thing that I - - we need to develop easy to understand acronyms. I have one called “party.” Plan for a neighbor party for two weeks. P--plan and prepare. A--act it out. R--reach out to others, and T--treat yourself to treats, disaster preparedness treats. And when you have your Christmas holidays you give away emergency supplies and things like that and why, because we care. You have to understand there are people that are going to die out there, and so it is more daunting to do nothing and allow people to die because we know better, so I think that it is easily done, if we all work together. We have a lot of energy just in this room. Speaker: I am Christina from the California Foundation for Independent Living Centers. My question, to both panels, have any of you had the opportunity to work with the Department of Education on preparing students while in the classroom in case of disasters? Richard Ruge: I have, do attend operational area in Sonoma, and representatives from special Ed, there is planning going on. Speaker: It is conducted regionally and not state wide yet? Speaker: I think the answer is yes. Carol Risley: I have to think the answer is typically yes, we all get told regularly that emergencies are local problems first. And knowing that, we are seeing most of that type stuff going on in individual schools, individual districts. The question that I don’t know the answer to, how common is it from place to place? Even if it is going on in one place or another, there is probably a lot more going on then we know about but it is going on inside, and the problem is how to cross it over so we, the people we are most concerned about besides ourselves, we get access to the existing resources that are already going on. We, in our department because we -- education pretty much serves our younger population, we hope they are doing something but we have not had a conversation and you just raised an issue for me to go over and talk to them. Speaker: The cross over - - thank you, the cross overs you were talking about, it happens. A lot of you are parents, grandparents of kids in a school, I know for me, I have two kids. And I have gone to school and talked to the teachers and I have talked to the school counselor and gone to the board meetings. That is how you get in, and try to get everyone working together. Grace Koch: This is, have good point about parental involvement and finding out, there is a bill that was passed, I’ll get the number to Teresa, to give you, that requires the secretary for the Office of Education to develop publication of materials for widespread distribution throughout the state regarding disaster and emergency preparedness, there is a bill. I don’t know the time frames but they will be working with offices to insure that materials are embedded the “just say no “or the fully sustaining message that is, start in early education. Speaker: Can I interject? There is a state-wide effort with families and children, with OES, and a number of private sponsors, that have provided disaster emergency kits to children all throughout the state and schools. That is still ongoing. Sheri Farhina: I want to respond to several things. We are talking about access to information. And for our population, you know, written information is fine, the average reading level for deaf and hard of hearing adults, nationally, is about fourth grade, fourth grade reading level. So really it depends on the kind of language you use, in that information, in printed information. The second issue for deaf people, second issue, they prefer ASL videos, American Sign Language on video. You know, supplied by a person who uses American Sign Language. It is direct communication and direct communication with a language, native language of deaf people. It is their natural language. And related --speaking of education, I am a little concerned related deaf and hard of hearing students. An example, probably two weeks ago, Merritt Middle School, there was a bomb threat at the middle school-- made a bomb, a home made bomb and got it online and put this information together. Can you imagine? All that is online. He brought it to school and showed his buddy. Because of the training that the children have gotten fortunately at school, it was reported to the teacher who then of course called 911, and they immediately locked down the school. Immediately, and my daughter attending that school had a cell phone and the reasons for that so they can communicate with me, deaf mommy. So she used text messaging capability. She didn’t tell me everything I am sure. But, hello, the phone bill, I know she is not just talking to mom. She was very fortunate and able to text me and notify me was to what was going on when there was a lockdown, otherwise I would have no idea, and my immediate concern was, going to the deaf students at the middle school. But right now Norcal’s, we do not get through to the school to check to make certain that deaf students were aware of what is going on, it depends on if they have an interpreter with them in class, or if perhaps they would have gotten the information in the classroom. Why is there a lockdown, if there has not been interpreter with the deaf students they would have had no idea. Can you imagine how frightening that is to the students to not know what is going on, to not know there was a bomb threat? Can you imagine? It makes no sense and it is a frightening experiencing. You can certainly reduce stress involved, of being in a situation like that, in an emergency situation when you have access to communication. That is the point, it is so important. There are so many efforts we need to do, locally, working with parents like you said or working with parents and schools, educational front to provide emergency responders themselves, access to the able too. We need a round table with emergency responders, making them aware of and increasing awareness of the varieties of communication needed in all areas. There was one other thing, because of our efforts nationally related 911 stakeholders and commission speaking to us about establishing - - why we have spoken to the FCC about communication needs. What are they, and how can we solve these problems. The FCC just held a conference, related to the e911 access for deaf and hard of hearing people and we hope that after that, the results - - we will have a second conference with people with various disabilities at the White House, to bring in all the police, police chiefs, all other emergency agencies and responders, and the n g 91, reverse 911. Now it is announcing an award of a winner of that bid, to improve information access to all psa p all over the country because that is not going to happen for the next five years even if it is implemented today. That is sad. Teresa Favuzzi: Thank you very much. 0 What is Readiness? 11:45 - 12:15 Speakers: Ana Marie Jones, Executive Director, Collaborating Agencies Responding to Disasters Tom Guarino, Government Relations Representative, Pacific Gas and Electric Company (program begins) Tom Guarino, Government Relations Representative, Pacific Gas and Electric Company: Test, test, 1,2,3. 1,2,3 - - okay. Technology is wonderful, good afternoon, or almost good afternoon. All that is between you and a juicy hamburger is me and Ana Marie. So we will try to keep this focused and on track, that has been a fascinating conference so far. I especially like that last answer, I know how much people get the truth from your children by text messages. Can you write that down? I know I don’t, but technology is great. I am not Ana Marie, I am Tom - - with PG&E, and we are pleased to be here today and I want to recognize Sylvia over here in the corner that helped underwrite the conference. Thank you, Sylvia. Polly from PG&E. I have a couple comments and given the time I want to turn it over to Ana Marie. I’ll give you a PG&E perspective, and I will be around to answer any questions that you have, and let her fill in the detail and talk about the partnership that we enjoy in the East Bay. I have been with them for five years now and am manager of public affairs for area two. That is Alameda and Contra Costa counties. We have seven areas within PG&E, so there is a number of colleagues on my level that each particular area has a director, as well. As a company, we really focus on what we call “four e’s “. Economic development, education, and two of the e’s are pertinent to today’s conference, environmental and emergency preparedness. When it comes to environmental, I would like to mention briefly some of the priorities. Number 1, we take a leadership role and are really concerned about what is happening on the global warming scene, and our CEO has been very involved both with the governor and legislature. I think we were the only utility that embraced bill 32 that is made reference to, and we are pleased so that implemented and that addresses climate change issue, green house gas effect, that is, it is having on our lives. The reason I mention that, especially individuals of PG&E that are out in the community and seeing bizarre strange things. You only have to go back to the summer when we had 10 days 1 of 100 plus degrees temperatures. A heat storm and we are ready for winter but now we have heat storms. And it caught some of our company and sister utility companies, both private and public, off guard. In our case we lost 1,200 transformers that could not make, take the demand from all of the air conditioners that were running at the time. As a result we really, we re-organized some of how we respond to disasters, as well. As I mentioned there are several areas within PG&E and we have set up area emergency centers, the one in the East Bay is in Concord, and we just have it up and running hopefully in time for what could be some serious winter storms. But each center has a new position called Local Customer Advocate. So many times we work with agencies, especially fire or police and others, and in the midst of everything, the customer would be left behind, people like you and me, who might be without power for days. And with our new organization we hope that is going to be addressed, those in the disability community, hopefully we will have good communications with agencies like yours and those you represent. That we will have a direct link to the local customer advocate positions. I want to mention also, four particular programs, Sonya may or may not be familiar with. We have a program for low income individuals, called the CARE program. And, many of you may or may not be familiar, if you are low income you can receive a 20 percent discount on the PG&E bill. Any extra dollars that we can put in low income customer pockets the better prepared they will be. We also have an energy partners program, again for seniors and low income. This is essentially, we will buy refrigerators, ovens, appliances to make sure that seniors, those that might be in jeopardy or have faulty equipment, have good viable appliances that are energy efficient and reliable. So, that is another program I wanted to pass on. And something that, for example, I am doing in our area and I believe my counterparts are, we are going to --in Alameda county there are 400 agencies that have agencies with the county, and we are doing an audit on each agency to make sure they are saving as much money on the bill and they are as energy efficient as they can be. We have free light bulbs to window tinting to thermostats and LED exit signs. Whatever we can do to make them have more money for services, that is the objective. And I am sure you are, you may have heard the other day about we now have bills that are being produced in braille. Which is something that is new, and I believe check with Sylvia, I think we are the only utility besides one in Texas that is providing that service. And, finally before I turn it over, I talked about partnership that our local office has with card. Not only is Ana Marie a great ringleader as far as emergency preparedness movement, but you, I have 300 people that are on my advisory board, so, and they are from all walks of life, and if you are or any clients happen to be in Alameda or Contra Costa and interested in serving on the advisory board, we welcome you. Their goal is to provide feedback on the good, bad and ugly, that they hear about, not me, but about PG&E. And if there is something good happening, maybe the employee spent time working on their time, maybe we want to recognize it. Or if there is something bad we want to correct that immediately. And Ana Marie was elected as chair person of that particular group, and my colleagues in the other areas have similar organizations. So, if you need, I will be around for lunch if you have questions for me; I will be here and Silvia --and again the simple phone number if any one of your clients have any questions about any thing, we have really centralized our services and you can call 1-800- PGE-5000. To keep it simple, without further ado, let’s turn it over to Ana Marie. Ana Marie Jones, Executive Director, Collaborating Agencies Responding to Disasters: I realize there is great pressure because I am the last person before lunch, and I am going to do my best to not go fast but I am from New York so forgive me. Thank you for being here and I want to thank PG&E and the sponsors because we all get on the same page. We are going to do the same things we have done for many, many years. Since I have very little time I’ll ask several questions, and I request is to raise your hands, nod or do whatever to give us the answer. Because truly learning from each other is one of the most important things that we can do during any time we are together. By a quick show of hands, how many have been involved in disaster preparedness for vulnerable populations for more than 17 years, from Loma Prieta or before. A few hands. The truth, everyone that just raised your hands, you will be able to agree with that, we have been discussing the same issues since then. In fact, most of the issues related to serving people with disabilities, not only were they not new for Loma Prieta, they have been documented since Hurricane Camille in 1969. So I want to give that perspective to start out because what we tend to do, just humans, is to re-invent life every time a new thing happens. So, we had hurricane Katrina, and truly if I had a dollar for every time I have heard, “Hurricane Katrina has opened our eyes”, how many have heard that. Let’s be clear about this --I did mention that I am from New York, I tend to be blunt-- if our eyes get any more open they will be ripped off the back of our heads because we have had these very difficult issues pressed in our faces for decades. And there are a few reasons why we have not moved forward. Is there anyone in the room that would like to say that the people with disabilities and service providing organizations are prepared? Anyone willing to put that out there? Raise your hand, be proud. And truth we all know, that it is not happening. Right? Anyone here want to guess as to why? No matter how many times we have this issue we don’t take steps forward? Money. No money, that is one of the most popular things that people say, anyone else? Overwhelming. How many agree this is a big sloppy overwhelming topic? Speaker: Low value. Ana Maria Jones: Is everyone clear that we put little value on the whole preparedness piece and when we talk about response we don’t talk about response for the most vulnerable communities. Anything else? People all think that someone else is responsible. Everyone clear on this, is we always think it is someone else’s responsibility. What I would tell you is, it is not just disaster preparedness that I am talking about, when I say many years. I was born in a special needs household, a lot of the issues that we see, low income and all those sorts of things. In truth, the conversation is very different for people who have special needs. The very discussion we live in about preparedness being the thing we do because of disaster is one of most disempowered conversations we can have. I would like you to consider that everything we know about preparedness and readiness has been defined by the agencies whose entire skill set is about disaster response. Everyone clear? That it is our governor’s office of emergency and FEMA and Red Cross and they do great and fabulous things. Let’s be really clear, part of the reason we are as strong as we are as a nation is because we have those organization that do as well as they do. But we have to admit that we are unbelievably late in the world of preparedness, and world of response related to vulnerable populations, anyone disagree? Awesome because - - I want to put out a couple things. One - - so long as we articulate the conversation as preparedness as the terrible thing we have to do because worse things happen, you will never achieve more than 15 percent of population buy-in. And that would represent double of amount that bought up to this point. Clear, you cannot get people to all, get all passionate by a negative. And we can prove that. How many would like to become old with lots of money in the bank? Raise your hands. Excellent. How many are planning on keeping your teeth, you will like them forever? If you still have them now. The truth is there are a few things we know, most people don’t plan. Okay, we don’t plan for the things we want, if we did, we’d be those flossing millionaires of the world, are we not clear? The very fact that our biggest evident message is “have a plan “. That means so little to people, that just right with that conversation you have eliminated most of the audience from jumping in. Another myth about plans. Anyone noticed that we keep talking about plans and people have lots of them. Who is missing a binder? Anyone here who doesn’t have a binder, some of you have twenty or 30. Yes? The truth is, it doesn’t come down to the plan, we call them RWR binders. That is “read while running” binders, that is suddenly something will happen, we are all going to run to the book shelf and snatch it and the world unfolds and it is like a Vulcan mind meld, it is open up and under crisis go right in and you are going to know what to do. Is that reasonable? For anyone? How reasonable is that for people with disabilities? It is even less. And I think June said it, where is June? It is that margin of resiliency and truth is when you deal with people who have barriers to every day life, we are talking about every day life, when the lights are on and everything is good, there are still obstacles. And then you take down the system and expect people to move forward. That is not realistic. We need to do serious re-thinking. Information is not now or will it ever be inspiration or implementation or incentive for participation. We have going crazy on account of the idea of taking information and then pushing it down in to community. One way to reach people with disabilities is take information that was not successful, in preparing people who had no significant barriers. Okay, help think people with money, no disabilities, they speak English, materials created for that group, we put them into a larger font. Or translate them. And then expect miracles. Not going to happen. Has anyone noticed that is our pattern, we have done it over and over. Part of what we have learned at CARD is that agencies, particularly those serving all, already marginalized communities have no desire to be knee-deep in a conversation and they don’t have money. Even the process of trying to bring everyone together is exclusionary of more than 95 percent of agencies. So what we keep doing is only touching the tip of the iceberg, putting a fingertip on the tip of the iceberg. But it is not the tip of the iceberg that sunk the Titanic. It was all the stuff you could not see. In truth we can make it an empowered conversation, we go back to random acts of preparedness and senseless acts of preparing, and hoping that everyone will develop a love affair with their binder. Not going to happen. Another thing that I want to put out. We have to stop using the phrase “lessons learned.“ How many have heard of the phrase, the lessons learned from the earth quake? That is lessons implemented. We learn lots of lessons all the time. Lessons implemented makes all the difference. I want to see implementation of it, and I tell you when we work with community organizations like you, it is shocking to see the degree to which they are advocating for things that never worked because they have never been educated about what does work. Our pattern after disasters is to have groups sue the Red Cross or the government and being really angry. Has that worked? Has that worked at all? You know it gets a compliance level of change. And a compliance level is nowhere near that level of embracing that as a way to work together and make it really work for us. The idea of preparing your community to prosper is going to be based not on successfully suing Red Cross or government, it is shifting the paradigm and helping organizations like you to advocate for the things that really work. And some of those things are instead of beating up on government and beating on Red Cross and beating up on everything that is not making it happen, it is advocating for a shift in how we do things. I tell people all the time, earthquakes don’t kill people. Earthquakes create collapses that kill people. Collapse of your house, or I have a pipe rupture, that kills people. In the same vein, disasters don’t cause victims, the policies cause victims. If you look at how often we just take it as totally acceptable that people in wheelchairs should be push in the to stairwells, that is a policy decision. You can have a policy that every single floor has an evacuation chair. It is clear that it is not disaster but that is policies that give us the world we are living in. And truth, we have all become policy victims, we keep doing that same thing inside that distinction of “this is the way it happens “. And I would tell you that there are easier ways to make preparedness happen. I want to show you a couple. How many of you have --the agencies that currently work with are you familiar with command system. Raise your hands high. Note how few hands are going up. The command system is one of the greatest things for agencies to learn, it allows you to you work in partnership with government and doesn’t have to be the big thick ugly binder. When we work with agencies we work with a system. It looks like… I would tell you that it does makes a difference, if you have to be in charge you can put the name tag around your neck and on the back it says, you are in charge. It walks you through as if you have a money manager saying the things you need to know. We have even put the incident command system inside a wallet card, if you are anywhere, and you had to stand up and respond you do that just with that. I want to ask you how many have ever, ever, put out a disaster brochure? You shared those brochures, and truth, how many people here actually did something with them? I have watched people literally invite people with disabilities to a meeting and take a bro chure and stuff it down the pouch of the wheelchair and that was something they were able to check off as having served well people with disabilities. I would ask you as advocates to be the ones that don’t accept that, and to be the ones instead of fighting and suing to be advocates for the money to come directly to community agencies that serve people with disabilities, and make it so that community-based organizations are not just trying it fit in, but they are working in a way that works for them. And I would tell you that shifts the way you work together. What I hope for you is that you take on doing simple things. Like for of the rest of today, be the ones that are demanding for specific measurable results. Be the ones that are, okay what committee will we be on and make sure, let’s not re-invent the wheel and take successful practices and wait on them, so they work. And to, truly, truly look at that, not from the old model, of we are doing it for disasters. We can make this as Richard talked about the curb cut. We can make preparedness the thing that allows to us work together and in a way that every day we are people who care for each other. Preparedness can be that, we have allowed it to be the terrible thing we do because worse things will happen, as opposed to being the way we care for each other and secure our economy and make sure every voice in our community is heard. Truly it can be done and the greatest voices will be yours. I want to thank you, and particularly PG&E because of all the corporations that we have worked with, they are the ones that have championed the card model and allowed us to spread our wings, thank you very much. Teresa Favuzzi: We asked Ana Marie to think so you would have something to talk about over lunch. Lunch is served outside, buffet style, if you have not set down at a table you will soon. We encourage you to get air, it will crisp you up and we will be back in here to recognize our sponsors, at 12:45. Please be here for that program part. Thank you. Evacuation 1:15 - 2:00 Speakers: Mike Collins, Executive Director, State Independent Living Council Fran Bates, Executive Director, Rolling Start Inc. Jerry Davis, Executive Director, Easy Lift Transportation (program begins--No record of introductory statements) Mike Collins, Executive Director, State Independent Living Council: They have been lacking in other disasters. The transit agencies need to play a key role in statewide and local transportation plans for evacuations. That has not happened in the all the counties, in San Diego county it is non-existent and on Sunday when the fires started, I don’t believe there are there were any vans available. Most of the areas hit by the fires were outside of the fixed route transit. So there was no public transportation available. You have heard of problems of notification and believe me they were rampant in southern California those two weeks, those were long running fires. Things we heard that were successful were transit agencies were prepared and persistent. We had what we call fire zones where they keep people out of during a fire but once it started up a certain canyon they block it off so people don’t go in. Unfortunately what happens when people are still living in homes that are isolated in the mountains or high valley and no one can get in to rescue them. In San Bernardino, we had a para-transit company, that rural transportation association, Mountain Area Transit Authority, and fortunately Jerry was in charge and knew the aim of the agency. They are ready and they had to argue with deputy and others who to get passage through blocked the fire routes. Many paratransit drivers on duty knew people depending on the paratransit were located on the rural roads and isolated valleys and we were persistent to get back in and determine if they needed a ride and help them get out. When people evacuate you cannot put 12 people with disabilities in a van, you might get two people, five or six dogs, the family photos and maybe an afghan they don’t want to leave behind, but not 12 people, and you are going to have to make multiple trips. We found also that people that needed to be evacuated may have known about the disaster and also may have had no other means of transportation except public transit. And if it had not shown up they would have been stranded in worse situations than they found themselves in. We had a situation where in Katrina and other places, especially San Bernardino where you had entire areas set up so a highway coming out could be turned into a one lane road, two lines for people to evacuate. However those responsible for implementing those plans didn’t do that, they stayed one lane and people who are evacuating or trapped in traffic for multiple hours and could see that the emergency vehicles were coming up it watch the fires burning toward the road and wonder would if they will be evacuated safely. We need to put these plans in place, if the person who develops the plan is not on duty at the time of the fire, or other disasters strikes, will those plans be put in place? I think that one of the other lessons we learned is that we needed to have training for paratransit drivers so the law enforcement agencies that are responsible for safety would feel more comfortable about having the driver enter the emergency zones with or without passengers and evacuate them safely. No one wants to see a vehicle with people dependent on the transportation burned up in a fire or otherwise damaged. I am going to, I think that the story needs to be shared with all three of us and my time is up, but I want to turn it over to Fran to talk about some of the consumers they dealt with and stories they told. Fran Bates, Executive Director, Rolling Start Inc.: Rolling Start for many years has been involved with trying to set up an master plan for people with disabilities. However we were not able it get off the ground with most of those thing, not basically due to us but it was like, it would start and then fall apart. That seems to be the way things went. But with our consumers, we had all sorts of stories to tell. We had one individual who was deaf, who was right up at the base of the fire, by Cal State and she had a hearing dog, of course the helicopters were flying over and of course they had the loud speakers going off, evacuate the area. But this lady the only way she knew was her dog came and warned her and she looked out, and the fire was on the perimeter of her yard. We had an apartment complex that set directly in front of -- directly in front of Cal State, which is where the fire came down and the out buildings of campus were burned. There was a large apartment complex where many of the students with disabilities lived, and, there was no coordinating effort among the management of the complex to even assist any of the people with disabilities in there. This is a real issue when it comes to coordination of evacuation procedures in large apartment complexes. We had many people that were evacuated without durable medical equipment. And that was something that was, there was uncoordinated effort, here Rolling Start is setting with a whole basement full of durable medical equipment, a lot of things could have been used at evacuation sites. The fire started early Saturday morning and not until Monday morning we got a call from the Red Cross wanting to know if we had if resources for durable medical equipment. Had we been a partner in that whole thing, we could have gotten equipment to them as soon as the people reached the evacuation center. And people were carried to the rest rooms because they were not accessible. People had to fight in some situation to take companion dogs with them and when they went to the shelters they were told their guide dogs could not stay in the shelter with them, there was a lot of disability sensitivity that needs to take place, that was not in place. Medications were another issue, we had individuals who had no medications and went without their medications as long as two days. We had one man that was in the shelter for three days, and when the people were checked in to the shelter, they some how missed the mark on this particular person, they had tv’s in the shelter but their captioning on the tv it had capability, but no one bothered to turn it on. And, there was a man in there who was deaf that had not a clue of what was going on. He had been separated from his two roommates that lived in the mountain areas and had no way of knowing what was going on until an interpreter was brought in to assist him in communication. The stories you know go on an on, and, it got to the point where, within the shelter itself, they had - - they kept saying the same old thing, we were not prepared for all these people with special needs. So, they got a church involved that was semi-accessible and took many of the individuals to a church area that was a little more accessible. But, one of the first things that I would say is, in the county of San Bernardino a total lack of coordination, when it came to notification, evacuation, the whole procedure. As a result, many people were at risk that may not have needed to be had there been planning ahead of time. Mike Collins: Thank you, Fran. I didn’t mention it enough but leaving the durable medical equipment behind was probably the most visible thing that I saw in Katrina. They multiplied it by having everyone in the Superdome and then loading them on buses and leaving those lined up wheel chairs in the parking lot. We heard from the friends that run the center for ILC in Houston, another organization that is served by shelters where they were taken, if they had mobility equipment meant they could have gotten them out almost immediately. Instead they were trapped in there and they experienced up in nursing home and psychiatric institutions, a lot of inappropriate places. I would like to turn it over to Jerry Davis, I didn’t know him until after the disaster but he came to our hearing and we heard the full story of what they did with MARTA to get in and make an extra effort to continue to get in and help people. And Jerry, thank you for what you 0 did and would you share about why you were prepared and how you are even better prepared now. Jerry Davis, Executive Director, Easy Lift Transportation: I am the director - - however from 2002 through 2006, I was the General Manager of Mountain Area Regional Transit Authority. In the mountains during that four year stint, I went through the fires in 2003. And then the floods in 2005. And then the snows in 2005 and 2006. So we have been through a lot of disasters on the mountains. Fortunately, when I arrived in 2002, there was an agency that was formed by the local law enforcement fire departments called Mountain Mutual Aid. We are an association of first responders, transit providers, utility cops and other organizations within the communities to prepare for a fire which we knew was inevitable. Fortunately we had 12 months to plan before the fire broke out in 2003. We plan the best we could, not everything worked, a lot of thing didn’t work and that is why I am here to tell you what does and doesn’t work. But the main thing is that you have to prepare and you have to prepare for every kind of disaster; fire, snow, earthquake. Coordination is probably the key, you have to coordinate with law enforcement, fire department, and with Caltrans and with public works, and you have to coordinate with utility. These are all important things that have to happen, when the disaster takes place. There are certain critical issues that you must be prepared for during the first 36 hours. The first thing, how do you get your people in and out. At MARTA we had a system that didn’t work. We had little ID cards and they were supposed to show them to law enforcement to get through the roadblocks. When you bring in California highway patrol from northern California and central California manning roadblocks at the base of the mountain and they have been told it is a “hard lock,” no one gets through but emergency personnel. A paratransit is not emergency personnel according to them. We would send our drivers off the mountain with people on board, drop at the shelters, and